OIG offered several recommendations to help CMS better assess ZPICs performance:
- Take steps to ensure accurate statistics and uniform reporting by ZPICs;
- Improve oversight of ZPICs by performing timely reviews of data to detect any anomalies in workload reporting;
- Utilize and report ZPIC statistics in ZPIC evaluations; and
- Ensure that ZPICs have all the data necessary to effectively carry out their program integrity activities.
Click here to read the OIG Report.
More information and resources are available on the NCMS Fraud and Abuse webpage at: http://www.ncmedsoc.org/pages/fraud_abuse/fraud_abuse.html.